INTRODUCTIONThe following assignment will discuss essential nursing processes to obtain information from a client to identify health problems or potential health problems and to gather and document information to use in the contribution of care planning for a client in a variety of health care settings. The case study involves Mrs Blow, an elderly patient who has a variety of health issues and requirements, that need to be implemented in hospital and on her return home for optimal health and safety outcomes taking into account services required by nursing staff and allied health professionals. In the assignment we also discuss Susans diagnosis of Multiple Sclerosis, we look at the components of a typical neuron and identify the cells responsible for Myelin Sheath production. Possible causes for Susans visual disturbances and the numbness and tingling of her extremities are suggested, and the possible changes in her vital signs during her delivery of her IV steroid treatment are also talked about. It will be discussed what auto immune means and also what symptoms Susan may expect in the future progression of her disease.

Assessment Activity 1
Case StudyMrs Blow is an 86 year old and was admitted to hospital via the ambulance after experiencing chest pain that was not relieved by her Nitro Lingual spray. On her admission she is pale , sweaty, dyspnoeic and anxious but her chest pain has subsided. During her physical assessment you observe that she has oedema around her ankles and she states that she is unable to fit her shoes very well. Her vital signs were- BP 180/90 Pulse 58 Temperature 35.1 and Respirations 24. She weighs 85kgs. She is diagnosed with Congestive Cardiac Failure. She has been into hospital on numerous occasions and her Medical History shoes that she has had Cardiac Problems for many years, she is a type 2 diabetic, with sensory loss to her fingers that developed as a result of Peripheral Neuropathy making it difficult to use her insulin pen to give herself injections. She has generalised Osteoarthritis particularly affecting her back, knees and hips. While conducting her admission, the nurse finds that she is a widow who lives alone in her own home. Community nurses visit her at home daily to administer her Insulin and assist with her showering if she requires it. She also has home help for housework and shopping. She has a supportive family with two daughters, a son and numerous grandchildren who she loves to see. The family...